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前言妊娠时可合并种种内科疾患,其中白血病由于对母子影响重大,因而是特别重要的疾患之一。妊娠合并白血病的报告,1847年Virchow即已有记载。此后有较多的病例报告。日本1938年余语等首次报告,至今见到近80例。但以往治疗极为困难,母子平安成功分娩的例数颇少。最近白血病有增多倾向。随着治疗的进步,获得完全缓解的病例也增多起来,白血病合并妊娠的确诊率也较前提高了。因此今后这样的病例似乎决不会少见。本文介绍作者最近遇到的一例。根据文献就二三个问题作了讨论,并进而论述了今后的治疗方向。
Introduction Pregnancy can be combined with a variety of medical conditions, including leukemia due to the impact of mother and child, which is one of the particularly important diseases. Report of pregnancy with leukemia, Virchow 1847 has been recorded. Since then there are more case reports. Japan’s first report in 1938, Yu Yu and so far have seen nearly 80 cases. However, treatment was extremely difficult in the past, and the number of successful delivery of mother and child was relatively small. Leukemia tends to increase more recently. As treatment progresses, the number of cases with complete remission also increases, and the diagnosis of leukemia complicated with pregnancy is also higher than before. Therefore, such cases in the future seems to be by no means uncommon. This article describes the author recently encountered an example. Two or three questions were discussed based on the literature, and then the future treatment direction was discussed.